Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 02289 | Date 20/07/2022 |
| Token No | SM/22-23/1576 25/07/2022 | Serial | 030 |
| Patient Name | Mrs. PRITY KUMARI | Contact No | 8910809122 |
| Address | 13/A CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 22 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||